NPI 1003883505

Isaak Sharivker, OPTICIAN

Practitioner Optician Forest Hills, NY

Practice location

Address: 11212 Queens Blvd, Forest Hills, NY 11375-6344
Phone: (718) 261-1764
Fax: (718) 261-1764

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 006712-1 (NY)

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Registry record

NPI: 1003883505
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2006
Record last updated: 24 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.